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Individual
MS. KELLY ANNE HAIDER
Active
Individual
MS. KELLY ANNE HAIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C6923
OR
101YM0800X
Mental Health Counselor
R-6443
OR
104100000X
Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122944
—
OR
05
—
500713541
—
OR
01
—
C6923
OREGON BOARD OF LICENSED PROFESSIONAL COUNSELORS AND THERAPISTS
OR
Enumeration date
09/08/2016
Last updated
12/27/2023
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